Citizenship
How should an IMC handle an exception where the SSA cannot document citizenship due to the applicant's name containing a hyphen?
Follow the same procedures as response code "B" and allow a 90 day period to provide documentation
What does the acronym 'MXP' represent in the context of North Carolina's healthcare system?
Medicaid Expansion
If a Medicaid case is terminated due to unverified alien status, what is the limit to the number of Reasonable Opportunity Periods (ROPs) an applicant may receive upon reapplying?
There is no limit to the number of ROPs allowed for any applicant.
If an individual appears in person at the local agency to seek assistance, which of the following staff responses is considered discouragement?
Suggesting that the individual make an appointment to return another day to apply
How is residency determined for an applicant who is incapable of stating their intent to reside in North Carolina?
They are a resident of the state they are physically located
Why is an 'Auto Newborn' child exempt from the SSA citizenship data match requirement?
They have already met citizenship and identity requirements by being born to a mother covered by Medicaid
Which age group is specifically targeted for coverage under the MXP program?
19-64
Which major act is cited as having significantly changed Medicaid eligibility for individuals who are not citizens of the United States?
The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104-193).
Under Section B of the policy, discouragement occurs if an application is taken for MQB or ABD only when there is potential for what?
dual eligibility
If an individual moves to NC and was previously eligible for Medicaid in another state, what is the caseworker's primary responsibility?
Contact the prior state to verify the move and request prove of termination
If the SSA match returns a response of 'C', indicating the SSN is verified and citizenship is consistent but there is an indication of death, what must the IMC do if the applicant is alive?
Authorize the application with C/I code 12 and refer the individual to the SSA
On which date did the Medicaid Expansion (MXP) officially take effect in North Carolina?
December 1, 2023
For admission/adjustment purposes, a "public charge" is defined as an alien who is likely to become solely dependent on government assistance, demonstrated by the receipt of public cash assistance for income maintenance or what other factor?
The institutionalization for long-term care at government expense.
When a local agency confirms that discouragement occurred, what action must they take regarding the application date?
The original date of application must be protected
What should a caseworker do if an applicant has an outstanding medical bill in NC for a month they were still covered by another state's Medicaid?
Authorize NC Medicaid if the other state will not cover the bill and the applicant is otherwise eligible
What is the primary purpose of the Social Security Administration (SSA) data match in the Medicaid eligibility process?
To verify both citizenship and identity for individuals claiming to be US citizens
An applicant is eligible for MXP but has a pending disability (MAD) application. How should the caseworker proceed?
Authorize and approve MXP while the MAD application remains pending.
Where can the Alien Registration Number (A-Number) be found on a legal permanent resident card (I-551)?
On the front.
According to Section C, if an individual claims they were discouraged but agency records are insufficient to prove it, who is responsible for providing proof?
The individual claiming discouragement
Name at least two types of documents that are considered valid proof of NC residency according to the manual's list of 14 acceptable documents?
A current North Carolina motor vehicle registration in the applicant's name; lease, hospital bill, other "Active" benefits receiving etc
When an Income Maintenance Caseworker (IMC) needs to correct both the last name and the date of birth for an applicant, which EIS function should be used?
Name Change (NC) Screen
For a parent or caretaker to be eligible for MXP, what is the requirement regarding children under age 21 in the home?
The children must be receiving full Medicaid or have comprehensive medical insurance.
Which group of lawfully residing immigrants is explicitly exempt from the 5-year bar and sponsor-deeming rules under the CHIPRA option?
Pregnant women (up to 60 days postpartum) and children under age 19.
Staff must explain 'available Medicaid programs' to avoid discouragement. What would violate this requirement?
Giving materially incorrect or incomplete information about Medicaid options
If an applicant provides residency documentation that the caseworker suspects is false, when can the caseworker deny the application?
On the 45th or 90th day if substantial evidence of falsely exists